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1144729914
CODY WADE SMITH
PADUCAH, KY
NPI
1144729914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KY 173513)
Enumeration Date
2018-02-07
Last Update Date
2018-02-07
Business Address
Mr. CODY WADE SMITH MS, CCC-SLP
4747 ALBEN BARKLEY DR
PADUCAH, KY 42001-6789
Phone number: 270-444-9661
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Mailing Address
Mr. CODY WADE SMITH MS, CCC-SLP
133 HILLCREST DR
BARDWELL, KY 42023-8574
Phone number:
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